- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... medical record review for medical necessity and level of care using...case management in the development and implementation of the plan of care and ensures prompt notification of any… more
- BAYADA Home Health Care (Austin, TX)
- …Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and ... **$500/Quarter** based on department metrics + BAYADA offers a **comprehensive benefits plan ** that includes the following: Paid holidays, vacation and sick leave,… more
- CVS Health (Austin, TX)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- HCA Healthcare (Houston, TX)
- …**Introduction** Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting ... resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%...you want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient… more
- HCA Healthcare (Round Rock, TX)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%...are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504557 The ... in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively assessing the clinical… more
- Stantec (Plano, TX)
- …client engagements that drive revenue growth - Apply effective Go/No-Go review processes and monitor compliance to ensure consistent decision-making and strategic ... project delivery as appropriate, including in key roles such as Independent Technical Reviewer and Project Independent Reviewer - Oversee risk management for… more
- Entergy (The Woodlands, TX)
- …or applicant for employment. Please contact ###@entergy.com to schedule a time to review the affirmative action plan during regular office hours. **WORKING ... Entergy's SGP and project management standards; serves as a SGP Gate Reviewer . + Conducts training on the Entergy SGP, project management standards/implementation… more
- TEKsystems (West Lake Hills, TX)
- Job Summary: We are seeking a Medical Bill Review Analyst/Expert to join our team and contribute to our mission of delivering accurate, defensible, and ... cost-effective medical valuation services. As a Medical Bill Review Analyst/Expert, you will evaluate clinical documentation and billing data to determine the… more
- Houston Methodist (Houston, TX)
- …actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan , in-services, influenza immunization, ... effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible… more